Deficiency Records for Marian Regional Medical Center D/p Snf

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Updated as of May 01, 2024

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Deficiency Records for Marian Regional Medical Center D/p Snf

A list of the most recent deficiencies for Marian Regional Medical Center D/p Snf. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Marian Regional Medical Center D/p Snf. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Assess the resident when there is a significant change in condition Health 2024-02-15 2024-03-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-15 2024-03-15 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2024-02-15 2024-03-15 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2024-02-15 2024-03-15 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-02-15 2024-03-15 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-02-15 2024-03-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-15 2024-03-15 N
Use approved construction type or materials. Fire Safety 2024-02-20 2024-03-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-02-20 2024-03-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-02-20 2024-03-01 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-02-20 2024-03-01 N
Have restrictions on the use of portable space heaters. Fire Safety 2024-02-20 2024-03-01 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-02-20 2024-03-01 N
Give the resident's representative the ability to exercise the resident's rights. Health 2023-03-23 2023-04-23 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-03-23 2023-04-23 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-03-23 2023-04-23 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-03-23 2023-04-23 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2023-03-23 2023-04-23 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-23 2023-04-23 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-03-23 2023-04-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-28 2023-04-13 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-03-28 2023-04-13 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-03-28 2023-04-13 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-01-10 2022-01-22 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-01-10 2022-01-22 Y
Provide or arrange emergency care by a doctor 24 hours a day. Health 2022-01-10 2022-01-22 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-01-10 2022-01-22 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-06-11 2019-06-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-06-11 2019-06-24 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-06-11 2019-06-24 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-06-11 2019-06-24 N
Meet requirements for the use of electrical equipment. Fire Safety 2019-06-11 2019-06-24 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2019-04-12 2019-05-07 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-04-12 2019-05-07 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2019-04-12 2019-05-07 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2019-04-12 2019-05-07 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2019-04-12 2019-05-07 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2019-04-12 2019-05-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-04-12 2019-05-07 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2019-04-12 2019-05-07 N
Provide and implement an infection prevention and control program. Health 2019-04-12 2019-05-07 N

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